Individual
DR. JEANNIE ONG PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12255 DEPAUL DR, SUITE 280, BRIDGETON, MO 63044-2510
(314) 739-2207
(314) 739-2436
Mailing address
12255 DEPAUL DR, SUITE 280, BRIDGETON, MO 63044-2510
(314) 739-2207
(314) 739-2436
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
R2C47
MO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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